An infant has been admitted to the pediatric unit. The parents ...

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An infant has been admitted to the pediatric unit. The parents are quite worried and upset, and the grandmother is also present. In this situation, what would be the best source of data?
 
  1. Medical record from the child's birth
  2. Grandmother, since the parents are upset
  3. Parents
  4. Admitting physician

Question 2

A nurse has just been informed that a new admission is coming to the unit. According to the 2005 JCAHO requirements, how long does the nurse have to complete a physical assessment and have a documented history and physical on the chart?
 
  1. 1 hour
  2. 12 hours
  3. 48 hours
  4. 24 hours

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Answer to Question 1

Correct Answer: 3
Rationale 1: The baby's birth record able to provide necessary information, but not to the extent as the parents.
Rationale 2: While the grandmother can support the parents during this time and may be able to offer some helpful information she would not be the best source.
Rationale 3: The best source of data is usually the client, unless the client is too ill, young, or confused to communicate clearly. Even though the parents are upset, they would be able to provide the nurse with the most accurate, current information regarding the baby (diet, schedule, symptoms, etc.).
Rationale 4: The admitting physician will be able to provide necessary information, but not to the extent as the parents.

Answer to Question 2

Correct Answer: 4
Rationale 1: While the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that each client have an initial assessment consisting of a history and physical performed and documented within specific time period but not 1 hour.
Rationale 2: While the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that each client have an initial assessment consisting of a history and physical performed and documented within specific time period but not 12 hours.
Rationale 3: While the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that each client have an initial assessment consisting of a history and physical performed and documented within specific time period but not 48 hour.
Rationale 4: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that each client have an initial assessment consisting of a history and physical performed and documented within 24 hours of admission as an inpatient.

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